How Do You Fix a Nose with a Bulbous Tip?

Hello,In a closed rhinoplasty approach, many different options are available depending on the nose. We can perform subtle refinements of the nasal tip through a scarless approach using endonasal techniques to size, shape and positioning of the nasal tip cartilages. Depending on your need we have an answer to address it with our closed scarless technique. Sometimes it's as simple as carving and sculpting your current cartilage.  Sometimes we need to reposition the tip cartilages with delivery and suture techniques.  Sometimes we need to use small grafts to enhance the projection or rotation of the tip. Consult with a board certified facial plastic surgeon for a consultation to see exactly what procedure you want and need. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

The bulbous tip usually has excess cartilage. It can be trimmed and the skin shrinks to adapt to the new smaller cartilage structure. In some cases there is excess fat in the tip especially in African American noses. Removal of the excess fat also helps the bulbosity. RegardsDr. Janjua

Fixing a bulbous tip can be one of the most challenging aspects of rhinoplasty surgery.  The cartilages which lie underneath the tip of the nose generally have to be reshaped in some way. These cartilages cannot be removed or significantly excised, as it tends to cause complications. Instead these cartilages can be sutured in various ways or often have additional cartilage added in the area to allow for re-shaping.
One of the greatest challenges is the skin thickness.  If the skin of the tip is thick, it tends to be difficult to really show any changes to the underlying cartilage because the skin simply 'covers it up".  If skin is too thin it can also be challenging as small changes in the underlying cartilages can be visible and show thru.
It is very important to have a clear discussion with your surgeon as to what type of a result you can expect. You can ask if additional cartilage or other material is going to be added to the tip.  Also important to choose an experienced rhinoplasty surgeon who has performed surgery on similar ethnicities as your own. 
Hope that helps and good luck.